Peer response week 11 CL

Be sure that you respond to a peer in a substantive way. 

e.g. the essence, meaning, etc, of a written orspoken thought; solid or meaningful quality

    Also, just adding more words/length isn't substance.  Also, just copying text from the book even if it is cited isn't substance. So, substance may mean backing up your thought with a citation, but a citation alone won't do it. The citation needs to expand upon a thought, open a new question or line of thought,  or add something to your discussion that relates and is meaningful and or makes people think about something in new ways.    

2 paragraph. Answer question to peer. 7th edition APA style

Anderson & Kingston (2021) did a fantastic job reviewing the purpose of policy in nursing and how it needs a spotlight given our significant technological advancements. They begin chapter 48 with a chronological explanation of previous healthcare policy reform. From President Reagan’s Prospective Payment System (PPS) and Diagnostic Related Groups (DRGs), to Medicare expansion in the 80s and 90s, and then to President Obama’s Affordable Care Act in 2010, there has been a gradual improvement in access, quality, and cost of healthcare in the United States (Anderson & Kingston, 2021). The intent for these reforms was to move from volume-based care to value-based care and control costs, but unfortunately, the costs kept rising and are now $10,348 per person in 2016 compared to $147 per person in 1960 (Rogers, 2018, as cited in Anderson & Kingston, 2021). A portion of the increase in cost is due to the numerous regulatory agencies and the complicated nature of our healthcare system, which costs $7.6 million to support administrative duties to maintain, report, and monitor quality metrics for the various regulatory agencies (Dickson, 2017, as cited in Anderson & Kingston, 2021). To help combat the increase in fixed costs, like expanding administrative teams, hospitals are choosing to participate in mergers and acquisitions (M&A) (Anderson & Kingston, 2021). Although M&A’s are somewhat beneficial for consumers to increase quality and decrease cost, this does not help in policy reform as a whole for our nation. Non-traditional roles are being created to focus on public health, care coordination, workforce issues, and research, but hospitals are still having to make difficult decisions on which areas to focus given no change in reimbursements. To truly support our changing healthcare environment there needs to be new roles to develop new and innovative processes beyond our traditional acute care settings along with legislation for support and funding. If there isn’t legislative change soon, then hospitals will feel more inclined to accept insurance negotiations with private companies thus worsening the separation of income classes. 

Reference

Anderson, R., & Kingston, M. B. (2021). Policy and politics in health care organizations. In D. J. Mason, E. Dickson, M. R. McLemore, & G. A. Perez (Eds), Policy and politics in nursing and health care (8th ed., pp. 387-394). Elsevier Saunders.